Individual
LAKETA SMITH HALPINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7010 S. UTICA AVE., TULSA, OK 74136-3904
(918) 764-9220
(918) 764-9214
Mailing address
7010 S. UTICA AVE., TULSA, OK 74136-3904
(918) 764-9220
(918) 764-9214
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5289
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401150B
—
OK
Enumeration date
09/02/2011
Last updated
12/19/2013
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